Digital Commons Network^™

A Pilot Study Of A Manualized Cognitive-Behavioral Intervention For Opioid Use Disorder Delivered In A Community-Based Public Health Organization, Michelle R. Lent, Denise Botcheos, Chad Gurdgiel, Hannah R. Callahan, Liam Gilroy

The Journal of Integrated Primary Care

This pilot study evaluated a previously untested cognitive-behavioral therapy (CBT) intervention designed specifically to treat opioid use disorder (OUD). Adults (N = 20) taking medication for OUD were recruited from a public health organization providing harm reduction and treatment services to people who use drugs in Philadelphia. Outcomes collected at baseline and 12 weeks included urinalysis-confirmed use of illicit drugs and surveys of mood (Patient Health Questionnaire-9; Generalized Anxiety Disorder-7), recovery capital (Brief Assessment of Recovery Capital-10), and cravings (Brief Substance Craving Scale). Feasibility and acceptability were assessed via retention rates, the Client Satisfaction Questionnaire-8, and the number of …

Framing The Future: A Community Health Analysis Of The Pee Dee Region, Stephen Borders, Jean Anton, Rian Fontaine, Donielle Phillips, Treyton Ringer, Jessica Robinson, Caitlin Thompkins

Public Health

This report presents a comprehensive, data-driven analysis of community health across South Carolina’s Pee Dee region, encompassing Florence, Darlington, Chesterfield, Marlboro, Marion, and Dillon Counties. Using tract-level data from CDC PLACES, the U.S. Census, and the National Provider Identifier registry, it assesses chronic health conditions, health behaviors, and social determinants of health. The analysis incorporates the South Carolina Healthy Communities Index (SCHCI) and a Suitability Analysis to identify the region’s most disadvantaged communities. The findings highlight persistent disparities, particularly in rural counties, where high rates of poverty, chronic disease, and unmet basic needs intersect with limited access to care. Despite …

Examining Validity And Reliability Evidence For The Multicultural Neuropsychological Scale (Muns) Party Subtest Scores, Madyson Hernandez

Masters Theses, 2020-current

Neuropsychological tests were developed primarily for Westernized, Educated, Industrialized, Rich, and Democratic (WEIRD) populations (Henrich, 2020; Fernández & Abe, 2018). According to the American Academy of Clinical Neuropsychology (AACN) Relevance 2050 Initiative project, approximately sixty percent of Americans will be deemed unsuitable for neuropsychological testing because test norms are primarily based on European Americans who speak English (AACN, 2015). To aid in effective cross-cultural neuropsychological assessment, The Multicultural Neuropsychological Scale (MUNS; Fernández et al., 2018) was developed to be easily translatable to various languages. The MUNS is a 40-minute neuropsychological test battery that examines cognitive abilities such as reading fluency, …

Common Challenges Faced By Early-Career Researchers In Latin American And Small U.S. Universities, Daniela Cejas, Fatima Rodriguez Acosta, Juan Rivera-Correa

Publications and Research

Early-career researchers from Spanish-speaking Latin American countries and small U.S. universities are underrepresented in international scientific databases. They have geographical importance, infectious disease endemicity, and exceptional researchers in microbiology, but these factors do not translate to representation in high-impact scientific publications. Many reasons could be involved, including financial burdens such as the inability to pay article processing charges. Additional teaching, institutional, and service responsibilities also highly influence their research productivity. Despite this, they are expected to publish high-impact articles, and their career development highly depends on it. There is an opportunity for global peer collaboration to tackle this inequity and …

Climate Change Behind Prison Walls: Environmental Justice, Prison Abolition, And Social Welfare, Mia Moody

Student Theses 2015-Present

Unbeknownst to many, human rights violations occur on a large scale behind prison walls. This paper examines some of these violations, especially those exacerbated by climate change, through an environmental lense in order to emphasize the need for social welfare-based solutions in the abolition of the prison industrial complex. It also seeks to illustrate the connection between the environmental justice movement and the prison abolition movement so that marginalized peoples may be free from shouldering disproportionate effects of environmental hazards and imprisonment. This paper is introduced with a brief overview of the human rights violations occurring in prisons. Using quantitative …

What Modren Dental Dna Sequencing And Tooth Analysis Combined With Historical Context Can Tell Us About The Human Experience, Brynn Butko

D.U.Quark

Dental DNA extraction and visual analysis of teeth are subjects that aid many different research fields. Odontal analysis, specifically combined with forensic science and anthropology, allows for age and sex estimations, the identification of remains, and an in-depth historical account of human history. Because tooth analysis is utilized in various fields, a lack of uniform protocol for handling, analyzing, and extracting teeth persists. This review will explore the methods of dental analysis, the individual dental characteristics that identify age and sex in remains, and a depiction of the past through tooth evaluation. Creating a standardized protocol for the process of …

Trust-Related Health Beliefs In Medical Systems Among Black Americans Since Covid-19, Monique Johnson Dixon

Walden Dissertations and Doctoral Studies

COVID-19 highlighted the longstanding systemic and structural racism that produced poor health outcomes in Black communities. Black minorities in the United States were disproportionately affected by the COVID-19 pandemic, with less access to health resources, low vaccine rates, and mistrust of healthcare providers and organizations. This interpretative phenomenological analysis (IPA) explored trust-related health beliefs with medical systems among Black Americans since COVID-19. The study explored the trust-related health beliefs through the six constructs of the health belief model—perceived susceptibility, perceived severity, perceived barriers, perceived benefits, cues to action, and self-efficacy. Data was collected through semi-structured interviews of six participants who …

The Lack Of Access To Quality Healthcare Delivery In Nigeria: Its Implications For The Nigerian Citizens, Tonyesima Furro

Journal of African Policy Studies

This study examines the lack of access to quality healthcare delivery for the broad majority of Nigerians using Primary Healthcare Centers (PHC) in Rivers State as a case study. The paper argues that corruption and mismanagement are the linchpins for the lack of access and the provision of quality healthcare delivery for the citizens of Nigeria. In spite of the nation's abundant resources and financial solvency due largely to oil revenues, there is very little awareness by successive leaderships both military and civilian rule of the need to confront the pressing problem of healthcare. As a consequence, today, a child …

Afflicted Epistemology: Knowledge, Illness, And New Media After “Truth”, Annika Nilsson

Arts & Sciences Graduate Student Theses and Dissertations

This study examines how people living with complex, medically underdetermined chronic illnesses make sense of their experiences through self-experimentation mediated by online forums and self-help groups in a cultural context characterized by significant controversy surrounding the status of science, expertise, and conventionally authoritative knowledge-producing institutions. Using virtual and conventional ethnography and critical media studies methods, it finds that the fragmentary and decentralized nature of the U.S. healthcare system intensified the interpretive challenges associated with complex chronic illnesses: information was extremely abundant, but deciphering its accuracy, reliability, and relevance proved difficult. In this context, participants relied on experiential knowledge to filter, …

Malaria In Mexico, C. Johnson

The Geographical Bulletin

The traditional picture of Mexico, at least to the average tourist, is never complete without a peon, in sombrero and serape, sleeping in the noonday sun, or putting off to manana whatever physical exertion is required. Actually, when seriously considered, this picture is found to be a myth, no more representative of the Mexican than the traditional cowboy or gangster image is of the American. What is interesting in the image of the peon, however, is that he is an excellent example of a population debilitated by malaria. To most North Americans, the existence of endemic malaria in an industrialized, …

Displacement And Refugeeism In Liberia And Guinea: Reality And Policy Choices, Veronica Nmoma

Journal of African Policy Studies

No abstract provided.

Key Issues Affecting Health Care Delivery Systems In Selected Sub-Saharan African Countries, Alemu Mammo

Journal of African Policy Studies

No abstract provided.

Frontier Healthscapes: Competing Narratives Of Disease, Environment, And Wellbeing In Early Minnesota, Aidan Reynolds

Geography Honors Projects

Across settler societies, health narratives were shaped by evolving tensions between lay and expert knowledge, frameworks of disease causation, and perceptions of the environment as both a source of health and a threat. In the decades following Euro-American settlement (1860-1900), Minnesota became a focal point for these debates, with its landscape fostering complex and competing narratives on health, wellbeing, and disease. This paper explores how public health discourse developed in Minnesota through the perspectives of institutions, the public, and economic interests. Combining environmental history with critical discourse analysis of archival materials, this study examines shifts within the Minnesota State Board …

Himmelfarb Headlines - May/June 2025, The George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News, information, and resources relating to Himmelfarb Library that is of interest to patrons.

Who Was Skull #0025336? A Forensic Anthropological Analysis Of Human Remains, Evelyn R. Wendland

Undergraduate Honors Theses

Biological anthropology identifies human remains to learn more about the individual or the ancient community from which they originate. Two subdisciplines of biological Anthropology that focus on osteology—the study of bones— are Forensic Anthropology and Biorchaeology. Forensic anthropology is the study of human remains associated with the legal process. They specifically analyze remains from post-1950. Biorchaeology also looks at human remains but in a historical and/or archaeological context. As osteologists analyze human remains, they typically try to create a biological profile. The biological profile includes classifications of ethnicity (ancestry), age, sex, and stature, as well as aspects of pathology and …

The Reentry Experience Of Returning Citizens From Prison, Christina M. Kadelski

Theses, Dissertations and Culminating Projects

In 2022, over 1.2 million individuals were housed in federal or state prisons in the U.S., in addition to over 514,000 individuals housed in local jails at mid-year (Bureau of Justice, 2024). As released individuals return to their communities, they face the daunting task of re-integration into the community. The purpose of this study was to identify how returning citizens experience reentry to their communities upon release from prison, their perceptions about their reentry experience, and to learn about their unique responses to the reentry process. This study aimed to explore the experience of these individuals to better understand counseling …

Healthcare Access And Agency In Material Culture: A Specialized Analysis Of Pharmaceutical Artifacts From Louisville’S West End., Sara Marian (Deurell) Ignacio

Electronic Theses and Dissertations

The American Victorian Period of the 1870s to 1920s was a time of significant transitions in medicine. In Louisville, Kentucky, this period saw an influx of Black healthcare professionals and the founding of Louisville National Medical College, the state’s first medical school open to people of color. A number of these professionals lived and/or practiced in the Beecher Terrace study area, which was excavated between 2017 and 2020. Patent medicine brands and archival records were examined qualitatively in order to understand neighborhood and case study household health concerns and consumer choice. Statistical analyses of the medicine bottles recovered during the …

The Complete Message Is The Best Message: The Case For Standardizing Wireless Emergency Alerts, Jeannette Sutton, Micki Olson, Hugh Walpole, Lauren B. Cain, Nicholas Waugh, Michele M. Wood

Emergency Preparedness, Homeland Security, and Cybersecurity Faculty Scholarship

Standardized messaging for alerts and warnings has been made possible through the use of the Warning Lexicon and workflow. The effectiveness of this approach to motivate protective action behaviors, in comparison with the current standard of practice, has not yet been tested. Using an experimental design to test the effectiveness of the Warning Lexicon, we tested three message types for five hazards: blackouts, law enforcement incidents, infectious diseases, heavy snow, and chemical releases, and found that messages created using the Warning Lexicon contents and workflow produced better messaging outcomes than the current standard of practice. Specifically, participants who received the …

The Importance Of Voice: American Indian Experiences With Their Healthcare, James Zimmer

Doctor of Social Work Capstone Projects

American Indians and Alaskan Natives (AIAN) have faced inequity and discrimination since colonization. Specifically, within the healthcare system, AIAN individuals have experienced maltreatment, poor quality services, and the dismissal of cultural and personal practices. Health disparities among this population have led to the highest prevalence in many chronic disease categories nationwide (Laffey et al., 2021). A qualitative study with nine respondents was conducted using virtual interviews. Respondents were recruited through healthcare agencies and snowball sampling. Interviews focused on the experiences of American Indians in the Midwest United States with their primary care provider or in a hospital within the last …

Home For The Brave: Housing Program, Amanda Jabr

Capstone Projects and Master's Theses

Veteran homelessness remains a critical issue across the United States. Since 1996, the Veterans Transition Center (VTC) of Monterey County has been at the forefront of addressing this crisis by providing comprehensive services, housing, therapy, addiction recovery, job training, healthcare, and support for families and pets to homeless and formerly incarcerated veterans. Guided by its mission of “Veterans Supporting Veterans,” VTC has achieved a notable 0% recidivism rate among program participants. This project evaluated the effectiveness of VTC’s housing program through a survey of 40 alumni veterans. The findings indicate that the majority of respondents found the program effective, credited …

The Multigenerational Impact Of Mass Incarceration On Families In Southern California, Adelle G. Phillips

Electronic Theses, Projects, and Dissertations

Mass incarceration has been a serious social issue in the United States, affecting directly and indirectly millions of individuals and families, particularly those with minority backgrounds. The generational impact of this social issue is significant. This study aimed to explore the perspectives of individuals on the multigenerational impact of mass incarceration on their families. Using convenience and snowball sampling techniques, this mixed-methods study surveyed residents of Southern California who have been affected by incarceration, either personally or through a family member (n = 63). Descriptive statistics demonstrate that the vast majority of the participants (92.1%) reported a moderate to very …

Assessing Bioterrorism Preparedness In Indonesia: Challenges And Strategic Frameworks For National Security, Toni Toni, Haliansyah Haliansyah

Journal of Terrorism Studies

Bioterrorism represents a growing global threat, necessitating robust preparedness frameworks to safeguard national security. This study aims to assess Indonesia's bioterrorism preparedness by identifying key challenges and proposing strategic frameworks for improvement. Using Structural Equation Modeling (SEM), this quantitative research examines the relationship between Government Capacity (independent variable), Crisis Management Effectiveness (intervening variable), and National Security Preparedness (dependent variable). A structured survey was distributed to key stakeholders, including public health officials, security experts, and policymakers, yielding 100 valid responses. Data analysis through SEM revealed that Government Capacity significantly influences Crisis Management Effectiveness, which in turn positively impacts National Security Preparedness. …

A Theoretical Model Of Participatory Team Science Training, Angela E. Jordan

Graduate Theses and Dissertations (2019 - present)

BACKGROUND: Teams have long been used to address major scientific and societal problems, and interdisciplinary teams are understood to be the best approach to complex systems-based problems like climate change. Engaged research collaborations incorporating community members as equal partners in research projects are recognized as both a means of advancing equity and justice in research, and also of improving the success of research translation by developing solutions with community use-value. The science of team science (TS) and community-engaged research (CEnR) have emerged as scholarly disciplines, with attempts to define competencies, skills, functioning, and success. A growing body of literature in …

Public Health Messaging About Dengue On Facebook In Singapore During The Covid-19 Pandemic: Content Analysis, Shirley S. Ho, Mengxue Ou, Nova Mengxia Huang, Agnes S.F. Chuah, Vanessa S. Ho, Sonny Rosenthal

Research Collection College of Integrative Studies

Background:Dengue, a mosquito-borne disease, has been a health challenge in Singapore for decades. In 2020, during the COVID-19 pandemic, Singapore encountered a serious dengue outbreak and deployed various communication strategies to raise public awareness and mitigate dengue transmission.Objective:Drawing on the Crisis and Emergency Risk Communication (CERC) framework, this study examines how dengue-related messages communicated on Facebook (Meta) during the COVID-19 pandemic fall into the CERC themes. This study also seeks to understand how these themes differ between dengue outbreak (eg, 2020) and nonoutbreak years (eg, 2021). In addition, we explore how message themes on dengue changed across different CERC phases …

State Case Count As An Indicator Of Successful Multistate Outbreak Investigation, Lorisa M. Pennell

Capstone Experience: Master of Public Health

Background/Objectives: Shiga-Toxin producing Escherichia coli (STEC) is a contaminant found in multiple food types and causes multistate outbreaks due to the industrialization of food production. In this report I examine the differences in outbreaks categorized by the regulating agency responsible in outbreak prevention and compare outbreak case counts when organized by positive outbreak investigation and response outcomes.

Methods: STEC Multistate outbreak data was obtained from the Center for Disease Control’s National Outbreak Reporting System (NORS) for outbreaks occurring from 2006-2023. Outbreaks were organized into those regulated by either the US Food and Drug Administration (FDA) or the US Department of …

A Research Report: What Are The Challenges That Refugee Women Experience When Seeking Healthcare Related To Pregnancy In The United States?, Manuela Krieger-Adi

Capstone Experience: Master of Public Health

Background

Refugees in the United States, including African refugee women, face many challenges in seeking healthcare after moving to the United States to resettle. It is urgent and essential to look into some of the health challenges the refugee community faces here in Omaha, Nebraska, that prevent them from seeking healthcare, especially when pregnant. This Capstone research project aims to focus on African refugee women, specifically in Omaha, Nebraska, and the challenges they face seeking healthcare related to pregnancy.

Methods

This research report involved five in-depth interviews conducted over Zoom. The target population was refugee mothers who had given …

School Counselors’ Lived Experiences During The Covid-19 Pandemic, Katie M. Guzman Dunn

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand how school counselor perceptions of their roles may have been permanently impacted by the COVID-19 pandemic. Bronfenbrenner’s (1979) Ecological Systems Theory, which relates to the interactions of an individual and the environment around them, guided the study. The study’s central research was: What are public school counselors’ lived experiences regarding their role perception during the COVID-19 pandemic? Data was collected through virtual semi-structured interviews and photo elicitation with 10 school counselors who were members of the Kentucky School Counselor Association. The data collected from the interviews was analyzed using bracketing to …

The Burden Of Care: A Phenomenological Inquiry Into The Lived Experiences Of Homeless Shelter Administrators Leading Through The Pandemic And Lasting Implications On Program Operations, Marie Adele Wilson

Doctoral Dissertations and Projects

The theories guiding this study are Maslow's Hierarchy of Needs, conflict theory, and complex systems theory, which explain the relationship between the theory and resource limitations and acquisition, systems, and nature of acquiring human needs. The purpose of this phenomenological study is to describe homeless shelter administrators'/directors' experiences delivering services during the COVID-19 pandemic on the Eastern Coast of the United States and Texas. It further seeks to unravel how the pandemic informed the delivery of services and program administration related to homeless shelters and its impacts. The research questions sought to understand the impact of COVID-19 on delivering services …

Contagions Of Doubt: Denialism And The Spread Of Medical Conspiracy Theories, Haley Boom

Anthropology

Denialism and conspiratorial thinking have long shaped public perceptions of science and medicine, but the COVID-19 pandemic exposed how rapidly these forces can evolve and spread in a digital age. This thesis examines the historical roots, psychological foundations, and modern amplification of medical conspiracy theories, with a particular focus on vaccine skepticism and COVID-19-related misinformation. As a literature review, it synthesizes existing interdisciplinary research from psychology, public health, and communication studies to explore how medical conspiracy beliefs emerge from complex interactions between cognitive biases, emotional needs, mistrust in institutions, and evolving media environments. The rise of social media, political polarization, …

What Makes A Hospital Gown Functional? A Comparative Case Study Of Effective Patient-Centered Design Practices In Four (N = 4) Hospital Gowns, Robmarie Lopez

Patient Experience Journal

A hospital gown is essentially a patient uniform. Yet, the typical ``tie in the back'' hospital gown, standard garb for routine medical procedure, can have great influence over key intervention factors like receptiveness to treatment and patient self-esteem. Thus, the goals of this study are two-fold: 1) To understand patient perceptions of the standard hospital gown, and 2) To understand which principles and elements of design underpin effectively functional hospital gown redesign. Aim 1 was assessed via a comprehensive literature review of n = 5 qualitative or mixed-methods studies which surveyed or interviewed patients on their experience with the standard …